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1518160746
SHANE ADAM SMITH
SPOKANE, WA
NPI
1518160746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA00021622)
Enumeration Date
2007-06-06
Last Update Date
2007-07-08
Business Address
Mr. SHANE ADAM SMITH LMP, NCTMB
20 W CENTRAL AVE
SPOKANE, WA 99205-6221
Phone number: 509-484-7578
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Mailing Address
Mr. SHANE ADAM SMITH LMP, NCTMB
1217 E LONGFELLOW AVE
SPOKANE, WA 99207-3155
Phone number: 509-768-6854
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